What you need to know about managing your diabetes.
Our philosophy regarding diabetes and vascular disease is simple here at Allegheny Vein and Vascular: we want you to keep your toes, legs, and feet attached to your body! While we are adept at revascularization and will do everything possible to maximize the ability for your vascular system to provide oxygen-rich blood to your feet and legs, we CANNOT do it alone. We need YOU to do everything you can to participate in the management of your diabetes or pre-diabetes.
Next, understand how carbohydrates work. Carbs are processed by your body into sugar, causing you to release more insulin (which doesn’t work the way it should) and makes you hungrier. Yes, your your body will crave MORE carbohydrate-rich foods, so you end up adding MORE sugar… and it’s a vicious cycle! Now, if you instead choose to swap out the high-carb craving for something high in fat and protein (which will satisfy you over the long haul) your body will have to produce LESS insulin because there is LESS sugar for it to trigger that release. This is what you want to see.
NOTE: While we appreciate that changing your relationship with food may seem daunting, if avoiding the development of diabetes is your goal then know that we believe that you can do it! You need to believe it, too.
Get on the move! Experts recommend moving your body for at least 30 minutes of physical activity each day. You should discuss the best activities suited to your physical needs with your physician, create a plan, and stick to it. Think outside the box, and don’t forget that even if you’re alternatively ambulating with a wheelchair, walker, or scooter, that your health care provider can assess your ability to perform physical activity from a seated position and recommend activities that address any limitations.
The last thing you want to do is to eat carbohydrates with reckless abandon and throw more and more medication at a problem that originates with your food intake. Instead, solve the underlying issues by addressing what you put into your body. Doing so means that you’ll have to use less and less medication as you get your diabetic condition under control Many can even eliminate the need for diabetic medications altogether!
THIS SECTION/TRANSITION NEEDS HELP
Your smallest arteries are called capillaries. Capillaries are essential in delivering oxygen-rich blood to cells. Think of it this way. The large vessels that come off of your heart send large amounts of blood to a body region, like a highway direction: north to the head, neck, and arms, or south to the abdomen, pelvis, and legs. Within each of these regions are slightly smaller vessels that work like a two-lane highway delivering oxygen to smaller and smaller vessels, until you’re on a one-lane walking trail that is much like a capillary. Capillaries feed small amounts of cells, and when one or two of them get blocked off it’s not a big enough impact to show any symptoms. However, if enough of these capillaries get blocked and die off, entire sections of tissue will be starved of oxygen and you will begin to show signs of ischemia (also known as dead or dying tissue or gangrene).
NOTE: It is highly recommended that diabetics wear well-fitting, hard-soled shoes or slippers at all times when walking around or ambulating via wheelchair or scooter.
Daily inspection of your feet can allow you to discover any potential problems or new wounds that should be evaluated by a vascular professional right away. It is important to look at the top and bottom of each foot, but also to look for any dark spots below callouses or tender areas over the bones on the side of the foot, heel, or ball of the foot. Make sure to look between each toe for wounds or fissures that can occur with dry skin.
For more information on how to properly examine your feet, please watch the short video on the sidebar that further explains foot examination.
If you find a new wound on your foot, call us right away. Time is of the essence and the sooner your wound can be evaluated and treated, the faster you’ll be on the road to healing.